Individual
STEPHANIE SHANNON PASCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4201 LAKE BOONE TRL STE 200, RALEIGH, NC 27607-7511
(919) 782-2152
(919) 782-7929
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011367
NC
363LF0000X
Family Nurse Practitioner
5011367
NC
Other
Enumeration date
01/23/2019
Last updated
03/31/2026
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